Gino Divittorio, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

00009491 Issued in AL

Practice address

75 S University Blvd
Mobile, AL 36608-3271

Phone

(251) 660-5787

Fax

(251) 460-7923

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Rheumatology

Education

University of South Alabama College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health University Hospital Hospital, Mobile, AL, CCN 010087

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gino.divittorio.1@16253.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of South Alabama Health Care Authority

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508392432
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1063468072
  Care Compare affiliation
• University of South Alabama

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1972138022
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1366456295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE A 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086767",
            "telephone_number": "251-633-8880",
            "fax_number": "251-378-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083271",
            "telephone_number": "251-660-5787",
            "fax_number": "251-460-7923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6304 USA Health Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366080020",
            "country_code": "US",
            "telephone_number": "251-660-5787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVITTORIO",
        "first_name": "GINO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AL",
            "license": "00009491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000093050",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Discovery Hearing Aid Co Op Inc
• Jayli Dismukes, CCC-SLP
• Diversicare Leasing LP
• Adrian Giovanni Divittorio, MD
• Elisa C. Divittorio, PT
• Brian E Dix, MD
• Bernita Dixon
• Brianna Dixon
• Bridget Alana Dixon, DC
• Christa Dixon, CRNP

• Rheumatology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Rheumatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.